About Nursing before and after rectal cancer surgery.docVIP

 PAGE \* MERGEFORMAT 7 About Nursing before and after rectal cancer surgery Surgery is an important means of treatment of rectal cancer, our hospital were treated in the past 15 years, 234 cases of rectal cancer, 140 cases of male and female 94 cases. Postoperative stoma retraction in 4 cases, 3 cases of necrosis of the stoma , stoma stenosis in 4 cases. With improvements in surgical procedures and developments, we should continue to sum up nursing experience, improve the quality of care in order to improve the surgical success rate. 1 Preoperative preparation 1.1 Psychological care Rectal cancer on the body due to the larger trauma, particularly in the line and wide range of sigmoid colostomy, the patient has concerns, not easy to accept, and even refused surgery. We should understand the patient’s psychological changes, patiently explained to the patient to save the patient’s life operations The only way to help patients make the preoperative examination, a firm confidence in the surgical patient. 1.2 Diet Care The patients often malnutrition, anemia caused by chronic blood loss, and intestinal obstruction caused by water, electrolyte disorders, surgery to improve patient tolerance, and promote postoperative rehabilitation, should guide the patient into the high-protein, high vitamins, high calorie diet, such as: milk, eggs, lean meat, fresh fruit and vegetables, to eat before surgery no residue liquid food for three days. To improve the nutritional status of the patient, if necessary, blood transfusions to correct anemia, intestinal obstruction patients received parenteral nutrition, to ensure operation of safety. 1.3 Bowel Preparation Cancer patients have a poor defecation, feces deposition in the intestine, the large number of bacteria growth and reproduction. To prevent pollution of abdominal surgery, pelvic and anastomosis, treated with conventional drugs and taking enema intestinal sterilization. Enema if the